Wacs 2017 Session 2

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  • 1/9 Questions

    Paraesophageal Hernia Repair with Synthetic Mesh: A Single Institutional ExperienceRetrospective, institutional data from OHSU regarding the use of current-generation synthetic mesh in hiatal hernia repair revealed:

    • High rates of recurrence and erosion
    • High rates of recurrence, low rates of erosion
    • Low rates of recurrence and erosion
    • Low rates of recurrence, high rates of erosion
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Wacs 2017 Session 2 - Quiz
About This Quiz

WA/OR ACS Session II - Friday, June 16, 2017

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  • 2. 

    Reducing Surgical Complications May Decelerate Rising Esophagectomy CostsAll of the following are major predictors of increased esophagectomy cost except?

    • Peri-operative Complications

    • Hispanic Race

    • Private Health Insurance

    • Western US Census Region

    Correct Answer
    A. Private Health Insurance
  • 3. 

    Outcomes following Acute vs. Elective Paraesophageal Hernia Repair: Emergency surgery is only selectively required in patients with acute presentationA 80-year old woman presents to the emergency department with acute symptomatic paraesophageal hernia Type IV. After the insertion of a nasogastric tube and administration of non-opioid analgesics, she is symptom free. What should be the next steps?

    • Hospital admission and emergent surgical repair within 48 hours.

    • Hospital admission overnight, pureed diet and completion of workup for a semi-elective surgical repair as an outpatient.

    • Discharge from the emergency department and follow-up as an outpatient in the department of thoracic surgery.

    • Discharge from the emergency department and follow-up with primary care physician.

    Correct Answer
    A. Hospital admission overnight, pureed diet and completion of workup for a semi-elective surgical repair as an outpatient.
  • 4. 

    Human Derived Amniotic Membrane is Associated with Decreased Post-operative Intraperitoneal Adhesions in a Rat ModelA 52 yo M undergoes a right hemicolectomy for CRC. He was found to have a single liver metastasis that is thought to be amendable to resection at a second operation. Based on this study what product could be used to prevent the number of adhesions.

    • Human amniotic membrane

    • Saline

    • Surgical technique

    • Talc

    Correct Answer
    A. Human amniotic membrane
  • 5. 

    Lessons Learned: How to Foster Meaningful Mentor Relationships through a Structured Mentorship Program in General Surgery ResidencyWhat was NOT identified as an opportunity for improving the mentorship program?

    • Expanding mentors to alumni or community surgeons

    • Improving mentor-mentee pairing

    • Providing meeting guidelines

    • Making the program voluntary

    Correct Answer
    A. Making the program voluntary
  • 6. 

    50 Pheos – An Evolving Approach to Preoperative Alpha Blockate Over 15 yearsA 62-year-old male with severe hypertension is diagnosed with a pheochromocytoma.Benefits of phenoxybenzamine over prazosin for preoperative alpha blockade include:

    • Less frequent dosing

    • Less expensive

    • More readily available in pharmacies

    • Less postoperative hypotension

    Correct Answer
    A. Less frequent dosing
  • 7. 

    Gastric Ischemic Preconditioning Prior to Esophagectomy is Associated with Decreased Strictures and Overall ComplicationsWhich is NOT and indication for ischemic preconditioning?

    • Tobacco Use

    • Diabetes

    • Elevated BMI

    • Preoperative feeding tube

    Correct Answer
    A. Elevated BMI
  • 8. 

    Rethinking the Healthcare Burden of DiverticulitisAverage monthly disease-related healthcare costs per patient with diverticulitis in this study were:

    • $7

    • $991

    • $42

    • $316

    Correct Answer
    A. $991
  • 9. 

    DECEASED ORGAN DONOR FACTORS INFLUENCING PANCREATIC GRAFT TRANSPLANTATION AND SURVIVALUsing this study as evidence, which of the following would not predict pancreatic graft survival in an organ recipient?

    • Insulin use during donor management

    • Meeting DMG Bundle prior to recovery

    • Donor vasopresssor use

    • Donor BMI

    Correct Answer
    A. Meeting DMG Bundle prior to recovery

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  • Jun 26, 2017
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